29/09/2026
Specialist Accountants for GPs, Consultants & Locum Doctors
Accountants for Doctors in Longfield
Specialist accounting support built around the way doctors actually work. Whether you combine NHS employment with private practice, take on locum shifts, run a consultancy or work as a salaried hospital doctor, the right accountants for doctors in Longfield can help you keep your records organised, understand your Self Assessment position, report multiple income sources accurately and plan ahead with confidence.
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Which Doctors Do We Support?
Doctors rarely fit neatly into a single tax category. A GP partner, a hospital consultant with a small private practice, a locum working shift by shift and a salaried specialty doctor all have different reporting obligations, expense rules and planning considerations. We support GPs, hospital doctors, consultants, locum doctors, salaried doctors and private practitioners, as well as doctors who combine NHS income with private medical income, medico-legal work, teaching or other professional activities. The right accounting approach depends on your employment status, how many income sources you have, whether you work alone or in partnership, whether you operate through a limited company and your individual circumstances. That is why we take the time to understand your working arrangements before advising on anything.
GPs
Accounting and tax support for GPs with NHS income, private work, practice interests or additional professional earnings.
Hospital Doctors
Support with Self Assessment, professional expenses and tax matters alongside employment income and other professional earnings.
Consultants
Accounting support for consultants managing NHS employment, private practice income, professional expenses and tax obligations.
Locum Doctors
Support with Self Assessment, locum income, allowable expenses, bookkeeping and relevant business structure considerations.
Salaried Doctors
Tax and accounting support for salaried doctors with additional professional income or expenses requiring reporting.
Private Practitioners
Accounting support for doctors providing private medical services through individual practices, partnerships or companies.
Our Accounting Services for Doctors
Our work for doctors centres on the accounting and tax tasks that sit alongside a demanding clinical career. That typically includes preparing and filing Self Assessment tax returns that bring together NHS pay, private income, locum earnings, consultancy fees and any other professional income in one clear position. For self-employed doctors and private practitioners, we can prepare annual accounts, bookkeeping and management accounts so income and expenses are recorded consistently throughout the year rather than scrambled together at the deadline. Where a limited company is appropriate, we can assist with statutory accounts, Corporation Tax, payroll and director-related compliance. For doctors in partnership, we can help with partnership accounts, profit shares and the allocation of income between partners. VAT is also something we can review, since many medical services are exempt from VAT but other activities may not be. Alongside compliance, we look at allowable expenses such as medical indemnity, professional subscriptions, training and professional development, equipment, and travel or mileage, plus pension considerations where relevant, so that your tax position reflects the reality of how you work.
Self Assessment Tax Returns
Preparation and support for doctors with employment, locum, private practice or other taxable income.
NHS & Private Income
Help organising accounting records where income comes from NHS work, private services, locum assignments or other professional activities.
Accurate records built around the way GP practices, partnerships and locum doctors actually work, with cloud software set up for you.
Tax Planning for Doctors & Consultants
Incorporation reviews for private practice, profit extraction, capital allowances and timing of income to keep your effective tax rate down.
Locum Tax & IR35 Support
Contract and IR35 status reviews, limited company versus sole trader comparisons and expense claims for locums working across multiple trusts.
Accounting and Tax Challenges Doctors Commonly Face
Doctors often deal with more financial complexity than a straightforward employment situation, and the tax rules do not always map neatly onto a clinical career. The points below are common considerations rather than universal ones, because the treatment of income and expenses depends on your employment status, contracts and individual circumstances.
- Multiple income streams in one return: NHS pay, private consultations, locum shifts, teaching or medico-legal work can all need reporting in the same Self Assessment. Each source has its own paperwork, and pulling them together accurately matters because an incomplete return can lead to questions from HMRC later.
- Allowable professional expenses: The rules differ depending on whether income is taxed as employment or self-employment. Medical indemnity cover, professional body subscriptions and job-related training may be claimable in the right circumstances, while ordinary commuting costs generally are not, so it is worth checking before assuming something can be claimed.
- Keeping records across PAYE, locum and practice income: Payslips, self-billing statements from locum agencies, private fee income, expense receipts and pension contributions all need to come together in a form HMRC will accept. Record keeping that drifts across the year tends to create pressure and errors closer to the filing deadline.
- Deadlines and payments on account: Self Assessment deadlines do not move because of a busy rota, and payments on account can catch doctors out when income has risen or changed shape. Planning for those payments is often as important as calculating the tax itself.
- Choosing the right business structure: Whether locum work or private practice is best handled as a sole trader, through a partnership or via a limited company depends on income levels, contract terms and off-payroll working rules. The wrong structure can add cost and administration without any real benefit.
- Pension considerations: NHS pension contributions, additional private pension payments and the interaction with tax relief and annual allowance limits can be complex for doctors with high or variable earnings, particularly where income fluctuates year to year.
- Practice and partnership finances: GPs and doctors in partnership deal with practice accounts, profit shares, drawings and capital accounts, which need consistent treatment across the partnership so that each partner's position is clear and defensible.
Why Doctors Choose CruseBurke
Doctors come to us because they want an accountant who understands the shape of a medical career, not one who treats every client the same. We take the time to establish how you earn, whether that is NHS employment, private practice, locum shifts, consultancy or a combination, and then build the accounting and tax support around it. That means clear explanations of what is and is not allowable, practical help keeping records in order, and a filing process that removes last-minute panic. We keep communication straightforward, flagging the points that actually affect you rather than burying you in technical language. Because doctors work in so many different arrangements, our advice is tailored rather than templated, and we are equally comfortable supporting a salaried doctor with a modest private income and a partner in a busy practice with multiple income streams.
Healthcare Focus
We support GPs, locum doctors, consultants and other medical professionals with accounting and tax matters tailored to their individual circumstances.
Every Allowable Expense Claimed
GMC and indemnity fees, royal college subscriptions, exams, courses, equipment and mileage — nothing left on the table.
NHS Pension Specialists
We calculate your pension input amount, check tapering and advise on Scheme Pays before a charge becomes a problem.
IR35 & Locum Confidence
Status reviews on your engagements and a clear answer on limited company versus sole trader for your circumstances.
Deadlines Handled for You
Returns, accounts and payroll filed on time, with reminders well in advance so penalties never happen.
Fair, Fixed Fees
One agreed monthly fee, quoted up front, with no hourly billing and no surprise invoices.
Our Simple 3-Step Process
Getting the right accounting support in place does not need to be complicated. First, we start with a conversation about your circumstances: how you work, where your income comes from, whether that includes NHS pay, private medical income, locum work, consultancy or partnership profits, and what you already have in place. Second, we review your accounting and tax requirements, looking at your existing records, your filing obligations, your structure and any areas where your current arrangements may not be working well. Third, we agree an approach and put the support in place, covering the services you actually need, whether that is Self Assessment, bookkeeping, annual accounts, payroll, VAT or ongoing tax planning. From there, we work with you through the year so nothing is left until the deadline.
1. Initial Consultation (It’s Free):
We begin by getting to know your practice and understanding your unique needs. This step ensures we have a clear picture of your operations and your goals.
2. Customised Plan:
Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. You can rest assured that your numbers are being handled with expert precision.
3. Ongoing Support & Updates:
From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
What Makes CruseBurke Different for Doctors
The difference is specialism and attention to detail. Doctors often carry several income sources at once, and each one brings its own reporting rules, expense treatment and timing issues. We work through those layers methodically, separating employment income from self-employment, identifying the expenses that genuinely apply, and making sure Self Assessment reflects your full position. We can also advise on whether your current structure still suits you, whether a limited company is worth considering for certain work, whether partnership arrangements are being accounted for correctly, and how pension contributions interact with your overall tax position. Just as importantly, we keep your bookkeeping and records in a state that makes year-end straightforward. The aim is accounting support that feels organised, understandable and genuinely useful to a working doctor.
Technology Driven
We use Xero, Quickbooks, Sage & many other online software.
Dedicated Medical Accountant
Meet, call or email the same qualified accountant who knows your practice and your pension position.
Unlimited Support
Free telephone & email support
throughout the year.
Experienced Team
Our team have over 100 years of combined experienced.
Free - Email Reminders
Never Miss any deadline with our automated email reminders.
Yes, We Are Chartered!
We’re an ICAEW, ACCA & AAT accredited Firm.
How to Switch to Our Doctor Accountants
Take a back seat and let our specialist healthcare accountants handle everything. Switching part way through the year is straightforward and you never need to speak to your old accountant:
Get in touch
Reach out to us, and we’ll discuss your needs and how we can help your healthcare practice thrive.
Letter of Engagement
We’ll send over a simple letter to formalise our partnership and get everything in motion.
Previous Accountants
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
We Do the Rest
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
FAQs
It depends on your circumstances. A doctor with a single NHS salary and no other income may not need much support beyond routine checks. However, doctors with private income, locum earnings, consultancy fees, partnership profits or multiple roles usually face reporting that is more involved than a standard PAYE return. An accountant can help you report everything accurately, identify allowable expenses and avoid the administrative errors that lead to unnecessary correspondence with HMRC.
Many doctors do, particularly where they have income that is not taxed through PAYE, such as private practice fees, locum income, consultancy work, rental income or partnership profits. Some doctors also need to file because of higher income or pension-related considerations. If you are unsure whether your circumstances require a return, it is worth checking rather than assuming, because HMRC expects returns from anyone who meets the criteria.
Yes. This is one of the most common situations we deal with. NHS employment income is usually taxed through PAYE, while private practice and consultancy income is typically reported through Self Assessment, and the two need to be brought together correctly. We can work through both, make sure the right expenses are claimed against the right income source, and check whether payments on account may apply.
The answer depends on how you are engaged and how you work. Where locum income is treated as self-employment, expenses that are wholly and exclusively for the work may be claimable, which can include medical indemnity, professional subscriptions, relevant training and travel between temporary workplaces. Ordinary commuting between home and a regular workplace generally is not allowable. Because the detail matters, we review your specific arrangements rather than applying a blanket list.
Medical indemnity is often treated as an allowable professional expense where it is required for your work, but the exact treatment can differ between employed and self-employed doctors, and between different types of cover. Professional body subscriptions are treated in a similar way. We can review what you pay and confirm how it should be reflected in your tax position.
Not automatically. Whether a limited company suits you depends on your income level, the type of work you do and the terms of your engagements. Off-payroll working rules can apply to some contracts, including certain NHS engagements, which can affect the benefit. We look at your individual situation and explain the practical implications before recommending any change in structure.
NHS pension contributions, additional private pension payments and the way tax relief applies can all influence your overall position. For doctors with high or variable income, annual allowance considerations can also be relevant. The interaction between pension contributions and your other income is rarely identical from one doctor to the next, so it is best reviewed against your own figures.
Yes, many doctors work with us remotely, sharing documents securely and communicating by phone or video around clinical commitments. If you are moving from another accountant, we can typically handle much of the transition, including requesting records and confirming your position with HMRC, so you are not left chasing paperwork in the middle of a busy period.
Speak to an Expert
Keep Your Tax Affairs in Order With Accountants for Doctors in Longfield — Specialist Support, Made Straightforward
Juggling NHS employment, private consultations and locum shifts leaves little time for tax admin, and Self Assessment deadlines will not wait for a quiet week on the rota. CruseBurke helps doctors in Longfield bring their income, expenses and records together into a clear, well-organised position, with support covering Self Assessment, bookkeeping and tax planning shaped around how you actually work. When you are ready to talk through your circumstances, our team is here to help.